Risk Adjustment & Quality Management

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Life Sciences

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Real World Data
NLP-Enriched EHR Data Solutions Large-scale, high-quality health data sets.

Clinical Data Registries Power your research with unique data.

Real World Evidence
Real World Evidence Retrospective and prospective research by RWE experts.

Real World Evidence Analytics Platform SaaS application enabling efficient analysis of real-world data.

Point of Care Marketing
Digital Health Media Highly targeted brand awareness messaging in the EHR.*
Health Plans + Payers

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Gap Closure
Gap Closure Services Proactive, clinically-driven services to help health plans and their network providers close care gaps.

Care Gap Alerting Point-of-care care gap alerting.

Provider Engagement Solutions Streamlined payer-provider collaboration for better gap closure.

Risk Adjustment
Health Equity Analytics Go beyond Social Determinants of Health (SDoH).

Risk Adjustment Analytics Analytics to find and prioritize gaps and opportunities.

Risk Mitigator RADV audits - be prepared, not scared.

Comprehensive Submissions One cloud-based data management platform for all government programs.

Utilization Analytics Delivers visibility needed to monitor and manage key performance indicators.

Data Exchange + Coding
eChart Courier Automated electronic chart retrieval.

eChart Coder Identify, document and validate how patient health conditions are treated.

eChart Integration and Analytics Automated exchange of clinical data and medical record information for analysis.

Quality Management
Quality Analytics Proven analytic solution to help plans enhance Quality performance across their member base.

Risk Adjustment and Quality Management Real-time visibility to monitor and manage your KPIs for risk and quality alike.

Clearinghouse + EDI
Veradigm Payerpath Claims and risk adjustment solution including an effective collaboration delivering streamlined EDI.
Healthcare Providers

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Practice Management
Practice Management Software Simplified software for effortless scheduling, billing, and claims processing.

AI Patient Scheduling Software Automate and optimize patient scheduling with artificial intelligence.

Electronic Health Records
ePrescribe with EPCS Affordable and certified e-Prescribing solution including controlled substances.

EHR Software Adaptable ambulatory EHR platform that supports your clinical documentation and workflow needs.

Veradigm EHR Scalable, reliable, configurable EHR solution ideal for mid to large practices.

Practice Fusion EHR Cloud-Based, intuitive, reliable EHR system ideal for solo to small independent practices.

Revenue Cycle Management Software
Electronic Statements and Payments Engage patients for payment electronically via their preferred payment method with Veradigm Intelligent Payments.

Payerpath Clearinghouse RCM clearinghouse that streamlines billing and claims exchange.

Patient Engagement
Patient Engagement Platform Integrate with a mobile-first patient engagement platform.

Revenue Cycle Management Services
Revenue Cycle Services Let us handle billing, minimize denials, enhance coding, and ensure timely payments.

Coding Services Get help to reduce staff burden and increase revenue - let our team manage coding for you.

Provider Engagement
Veradigm Payer Insights Point-of-care care gap alerting.

Clinical Data Registries for Physicians Registry participation for providers.
Health IT Vendors

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Powered by the Network
Life Sciences Empowering life science with trusted data and insights from the point of care.

Health Plans + Payers Connecting payers to the Veradigm Network’s comprehensive, national provider footprint.

Providers Integrated clinical & financial solutions for a healthier practice.

API Connectivity
Veradigm Connect Connect the latest health tech solutions with the physicians and patients who need them.

App Expo Become one of hundreds of certified applications and devices for provider practices built on open APIs.

Diagnostic Ordering and Results Network (DORN) Connecting EHR Vendors with Lab and Radiology centers.

Electronic Prescribing
Veradigm ePrescribe Enterprise Integrated, advanced, easy-to-use ePrescribing for EHR and HIT vendors.
Insights

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Thought Leadership Read the latest healthcare insights from our team of subject matter experts.

Podcasts Listen to our podcasts to hear healthcare insights from our team of experts.

Webinars Watch our webinars to learn more about how we are transforming health, insightfully.

Resources
RWE Publications Read through our RWE publications and learn how we help clients.

Clinical Data Registries Explore our registry publications and learn how we help clients.

Trending Topics
Value-Based Care Comprehensive guide to value-based care, including use cases, relevant blog articles, white papers and more.

Real-World Evidence Complete overview of real-world evidence, why it’s important, and how it’s used in healthcare.

Real-World Data Thorough review of what real-world healthcare data is, how it’s collected, and how it’s used across the healthcare spectrum.

Payer Provider Relationships Guide Discover the impact of payer-provider relationships on healthcare. Learn how collaboration improves patient care and addresses challenges.

Artificial Intelligence (AI) in Healthcare Discover the role of artificial intelligence in healthcare, its impact on diagnosis, treatment, and industry growth. Learn about AI's benefits and challenges.
About Us

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Our Story
Who We Are Learn how we’ve been providing healthcare solutions since 1986.

Culture and Values Veradigm celebrates identity, perspective and collaboration.

Locations Headquartered in Chicago, IL, our remote force crosses the globe.

Veradigm Network Driving Value at the Intersection of Payers, Providers, and Life Science.

Expertise
Leadership Get to know Veradigm’s leaders and board of direcors.

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Press Releases Official Veradigm statements to news media.

In the News The latest media coverage featuring Veradigm in healthcare and technology news.

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Events We’d love to meet you—find out where Veradigm will be next.

Careers
Join Our Team Why Veradigm? Learn more about our mission and who we are.

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Benefits Veradigm offers benefits, training and development opportunities.

Early Talent Program Grow your future—learn about Veradigm’s internship program.

Four doctors sitting around a laptop and filling out documents

Get Help with Risk Adjustment & Quality Management from Veradigm Payer Analytics

Veradigm Payer Analytics (formerly Pulse8), provides complete transparency into the efficacy of your Risk Adjustment, Quality Management, and Pharmacy Programs. Payer Analytics solutions are ideal for At-Risk providers.

Veradigm Payer Analytics delivers advanced risk adjustment expertise and invaluable support to those responsible for Risk-Adjusted Revenue, Performance-based Contracting, and Quality Management.

Veradigm Payer Analytics Can Help You:

Succeed in risk-sharing arrangements from Accountable Care Organizations (ACOs) and Patient-Centered Medical Homes (PCMH) to CMS Star Ratings and Value-Based Payments (VBP)
Drive risk-adjusted revenue, outcomes-based reimbursement, and quality-driven bonuses for your practice
Translate analytics into action to help promote patient health outcomes

Veradigm Payer Analytics Solutions:

Medical Management - Veradigm Provider Engagement Solutions + eChart Integration and Analytics
Quality Management – Veradigm Quality Analytics
Practice Management - Veradigm Provider Engagement Solutions
Finance & Administration – Veradigm Risk Adjustment Analytics
Risk Adjustment - Veradigm Risk Adjustment Analytics
Managed Care - Veradigm Risk Adjustment Analytics & Veradigm Provider Engagement Solutions

Learn more about Risk Adjustment & Quality Management solutions for your practice

Contact us for more information about managing risk and quality for your practice.

Contact us